Prokar Dasgupta and Ben Challacombe

Laparoscopic Urology and Robotics, Guy's Hospital and Guy's King's and Thomas's School of Medicine, London, U.K.

INTRODUCTION

TUMOR GROWTH, METASTASIS, AND

BASIC PRINCIPLES OF IMMUNOLOGY

IMMUNE FUNCTION

LAPAROSCOPY AND SYSTEMIC IMMUNITY

LAPAROSCOPIC BOWEL INJURY

Effects on Acute-Phase Response and

IMMUNOLOGIC ASPECTS OF

Cytokines

LAPAROSCOPIC UROLOGY

Effect on Polymorphonuclear Lymphocytes

FUTURE DIRECTIONS

Effect on Delayed-Type Hypersensitivity and

SUMMARY

T Lymphocytes

REFERENCES

Effect on Monocyte-Macrophage Function

LAPAROSCOPY AND INTRAPERITONEAL IMMUNE FUNCTION

The immunologic benefits of laparoscopic surgery are most obvious in relatively atraumatic procedures such as cholecystectomy and antireflux surgery. For more complex procedures such as resection of colorectal cancer the benefits are less obvious and the evidence controversial.

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